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</o:shapelayout></xml><![endif]--></head><body lang=EN-US link=blue vlink=purple><div class=WordSection1><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'>Hi all<o:p></o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'>We will be filing legislation in Rhode Island today to require the cost of collecting the human waste from the 27 bad actor chemotherapy treatments as part of the cost of the treatment. Average cancer treatment is almost $200,000 per year and the cost to collect transport and destroy the contaminated urine and feces is about 2 to 3 % of that. I have a list of the problem drugs attached with excretion times and amounts.<o:p></o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'>I will be happy to share the language in the legislation to file in other states.<o:p></o:p></span></p><p class=MsoNormal><img width=624 height=555 id="Picture_x0020_4" src="cid:image001.png@01D02A63.DD890DE0"><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'><o:p></o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'><o:p> </o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'>Thank you for your help<o:p></o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'>Jim<o:p></o:p></span></p><div><div style='border:none;border-top:solid #B5C4DF 1.0pt;padding:3.0pt 0in 0in 0in'><p class=MsoNormal><b><span style='font-size:10.0pt;font-family:"Tahoma","sans-serif"'>From:</span></b><span style='font-size:10.0pt;font-family:"Tahoma","sans-serif"'> Catherine Zimmer [mailto:zenllc@usfamily.net] <br><b>Sent:</b> Wednesday, January 07, 2015 10:09 AM<br><b>To:</b> 'Gilliam, Allen'; 'jmullowney'; 'Bill Speenburgh'; pharmwaste@lists.dep.state.fl.us<br><b>Subject:</b> RE: [Pharmwaste] RE: Pharmwaste Digest, Vol 111, Issue 1<o:p></o:p></span></p></div></div><p class=MsoNormal><o:p> </o:p></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'>Hi Allen and all,<o:p></o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'><o:p> </o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'>Yes, if you remember some years back, Ann Heil from I think its LA’s wastewater district compiled a list of metabolism vs. pass through of a number of common rx. And a EPA, Region 3 scientist says, I paraphrase here, “the drug companies overdose us”. Pharmaceutical metabolism is less than an exact science, and Pharma is apparently not too interested in making it more so. Now, maybe with Almeda Co.’s take back ordinance, or maybe if EPA demanded Pharma clean up the nation’s waters—that would be incentive to develop more site specific and directed drugs. <o:p></o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'><o:p> </o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'>Following up on Jim’s comments—I have done exactly that with my physician. When she prescribes a drug—for which there is no rx-free alternative treatment, we’ll get out the package insert to identify the amount that passes through. A good education for both you and your MD. <o:p></o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'><o:p> </o:p></span></p><div><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'>Very truly yours,<o:p></o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'><o:p> </o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'>Catherine Zimmer, MS, BSMT<o:p></o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'>Zimmer Environmental Improvement, LLC<o:p></o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'>St. Paul, MN <o:p></o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'>Ph: 651.645.7509<o:p></o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'><a href="mailto:zenllc@usfamily.net">zenllc@usfamily.net</a><o:p></o:p></span></p></div><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'><o:p> </o:p></span></p><div><div style='border:none;border-top:solid #B5C4DF 1.0pt;padding:3.0pt 0in 0in 0in'><p class=MsoNormal><b><span style='font-size:10.0pt;font-family:"Tahoma","sans-serif"'>From:</span></b><span style='font-size:10.0pt;font-family:"Tahoma","sans-serif"'> <a href="mailto:pharmwaste-bounces@lists.dep.state.fl.us">pharmwaste-bounces@lists.dep.state.fl.us</a> [<a href="mailto:pharmwaste-bounces@lists.dep.state.fl.us">mailto:pharmwaste-bounces@lists.dep.state.fl.us</a>] <b>On Behalf Of </b>Gilliam, Allen<br><b>Sent:</b> Wednesday, January 07, 2015 8:39 AM<br><b>To:</b> jmullowney; Bill Speenburgh; <a href="mailto:pharmwaste@lists.dep.state.fl.us">pharmwaste@lists.dep.state.fl.us</a><br><b>Subject:</b> RE: [Pharmwaste] RE: Pharmwaste Digest, Vol 111, Issue 1<o:p></o:p></span></p></div></div><p class=MsoNormal><o:p> </o:p></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'>So the general public would not realize they’re paying for perhaps 25% of the (almost prohibitively) expensive drug they’ve been prescribed; the rest being wasted to the environment? Sumpthin just doesn’t pass the smell test on this scenario.<o:p></o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'><o:p> </o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'>Allen g<o:p></o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'><o:p> </o:p></span></p><div><div style='border:none;border-top:solid #B5C4DF 1.0pt;padding:3.0pt 0in 0in 0in'><p class=MsoNormal><b><span style='font-size:10.0pt;font-family:"Tahoma","sans-serif"'>From:</span></b><span style='font-size:10.0pt;font-family:"Tahoma","sans-serif"'> <a href="mailto:pharmwaste-bounces@lists.dep.state.fl.us">pharmwaste-bounces@lists.dep.state.fl.us</a> [<a href="mailto:pharmwaste-bounces@lists.dep.state.fl.us">mailto:pharmwaste-bounces@lists.dep.state.fl.us</a>] <b>On Behalf Of </b>jmullowney<br><b>Sent:</b> Wednesday, January 07, 2015 5:38 AM<br><b>To:</b> Bill Speenburgh; <a href="mailto:pharmwaste@lists.dep.state.fl.us">pharmwaste@lists.dep.state.fl.us</a><br><b>Subject:</b> RE: [Pharmwaste] RE: Pharmwaste Digest, Vol 111, Issue 1<o:p></o:p></span></p></div></div><p class=MsoNormal><o:p> </o:p></p><div><p class=MsoNormal>Bill<o:p></o:p></p></div><div><p class=MsoNormal>You do not need to have your urine tested you can just read the drug insert,that pice of paper that comes with your prescription with all the fine print. It will tell you how much passes in the urine and feces and how quickly. This is all information from the FDA.<o:p></o:p></p></div><div><p class=MsoNormal>A patient on a chemotherapy drug called cyclophosphamide will urinate 1000 ppm in 24 hours, enough to kill a child nevermind the fact it is a US Epa hazardous waste and a known carcinogen as well as known to cause birtdefects. <o:p></o:p></p></div><div><p class=MsoNormal>Not all drugs are hazardous to humans in small quantities but the ones that are need to be controlled such as cytotoxic chemotherapy drugs.<o:p></o:p></p></div><div><p class=MsoNormal>Pee in a cup for two days after treatment if you are on chemo as recommended by the World Health Organization. Check out <a href="http://www.cytotoxicsafety.org">www.cytotoxicsafety.org</a> <o:p></o:p></p></div><div><p class=MsoNormal><o:p> </o:p></p></div><div><p class=MsoNormal><o:p> </o:p></p></div><div><div><p class=MsoNormal><span style='font-size:7.0pt;color:#575757'>Sent from my T-Mobile 4G LTE Device<o:p></o:p></span></p></div></div><p class=MsoNormal style='margin-bottom:12.0pt'><o:p> </o:p></p><div><p class=MsoNormal>-------- Original message --------<o:p></o:p></p></div><div><p class=MsoNormal>From: Bill Speenburgh <<a href="mailto:wcermail@gmail.com">wcermail@gmail.com</a>> <o:p></o:p></p></div><div><p class=MsoNormal>Date:01/06/2015 8:15 PM (GMT-05:00) <o:p></o:p></p></div><div><p class=MsoNormal>To: <a href="mailto:pharmwaste@lists.dep.state.fl.us">pharmwaste@lists.dep.state.fl.us</a> <o:p></o:p></p></div><div><p class=MsoNormal>Cc: <o:p></o:p></p></div><div><p class=MsoNormal>Subject: [Pharmwaste] RE: Pharmwaste Digest, Vol 111, Issue 1 <o:p></o:p></p></div><div><p class=MsoNormal><o:p> </o:p></p></div><p class=MsoNormal style='margin-bottom:12.0pt'>As a person with Type II diabetes, I am prescribed by the VA with 2 x 1000<br>mg tablets of Metformin per day. Maybe I will get my urine tested to see<br>what passes thru? <br><br>William G. Speenburgh<br>World Class Environmental Resources, LLC<br><br>(973) 770-2275 (Phone)<br>(973) 219-5720 (cell)<br><br>-----Original Message-----<br>From: <a href="mailto:pharmwaste-bounces@lists.dep.state.fl.us">pharmwaste-bounces@lists.dep.state.fl.us</a><br>[<a href="mailto:pharmwaste-bounces@lists.dep.state.fl.us">mailto:pharmwaste-bounces@lists.dep.state.fl.us</a>] On Behalf Of<br><a href="mailto:pharmwaste-request@lists.dep.state.fl.us">pharmwaste-request@lists.dep.state.fl.us</a><br>Sent: Tuesday, January 6, 2015 3:54 AM<br>To: <a href="mailto:pharmwaste@lists.dep.state.fl.us">pharmwaste@lists.dep.state.fl.us</a><br>Subject: Pharmwaste Digest, Vol 111, Issue 1<br><br>Send Pharmwaste mailing list submissions to<br><a href="mailto:pharmwaste@lists.dep.state.fl.us">pharmwaste@lists.dep.state.fl.us</a><br><br>To subscribe or unsubscribe via the World Wide Web, visit<br><a href="http://lists.dep.state.fl.us/cgi-bin/mailman/listinfo/pharmwaste">http://lists.dep.state.fl.us/cgi-bin/mailman/listinfo/pharmwaste</a><br>or, via email, send a message with subject or body 'help' to<br><a href="mailto:pharmwaste-request@lists.dep.state.fl.us">pharmwaste-request@lists.dep.state.fl.us</a><br><br>You can reach the person managing the list at<br><a href="mailto:pharmwaste-owner@lists.dep.state.fl.us">pharmwaste-owner@lists.dep.state.fl.us</a><br><br>When replying, please edit your Subject line so it is more specific than<br>"Re: Contents of Pharmwaste digest..."<br><br>---<br>Note: As a courtesy to other listserv subscribers, please post messages to the listserv in plain text format to avoid the garbling of messages received by digest recipients.<br>---<br>TO SUBSCRIBE, go to: <a href="http://lists.dep.state.fl.us/cgi-bin/mailman/listinfo/pharmwaste">http://lists.dep.state.fl.us/cgi-bin/mailman/listinfo/pharmwaste</a> <br>TO UNSUBSCRIBE, DO NOT REPLY TO THE LISTSERV. Please send an e-mail to <a href="mailto:pharmwaste-unsubscribe@lists.dep.state.fl.us">pharmwaste-unsubscribe@lists.dep.state.fl.us</a> -- the subject line and body of the e-mail should be blank.<br>If you believe you may be subscribed with a different email address, please visit the subscriber listing at <a href="http://lists.dep.state.fl.us/cgi-bin/mailman/roster/pharmwaste">http://lists.dep.state.fl.us/cgi-bin/mailman/roster/pharmwaste</a> <br>FOR PROBLEMS: Contact List Administrator <a href="mailto:Laurie.Tenace@dep.state.fl.us">Laurie.Tenace@dep.state.fl.us</a> <br>SEND MAIL to the list server at: <a href="mailto:pharmwaste@lists.dep.state.fl.us">pharmwaste@lists.dep.state.fl.us</a><o:p></o:p></p></div></body></html>